Active NPI
Quachetta Lashae Jones
- Clinical Social Worker
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4136C
- Practice address
- 3600 7TH CT S Ste 100
Birmingham, AL 35222-3217 - Phone
- (706) 505-0337
- NPI assigned
- Jul 16, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4136C | AL | Primary |
Addresses
Primary practice location
3600 7TH CT S Ste 100
Birmingham, AL 35222-3217
Mailing address
1109 Emerald Ridge Dr
Calera, AL 35040-6122
Phone (706) 505-0337
Other practice location 1
1109 Emerald Ridge Dr
Calera, AL 35040-6122
Phone (706) 505-0337
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4136C | AL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kolbe Clinic LLC | Clinical | Current | Accepting new patients |
| Elite Counseling Center LLC | Clinical | Current | Accepting new patients |
| SVPS Psychiatric Services LLC | Past | Accepting new patients |
Locations
109 Foothills Pkwy
Ste A
Chelsea, AL 35043
Phone (205) 775-0300
109 Foothills Pkwy
Ste 113
Chelsea, AL 35043
Phone (205) 451-9742
1830 Montclair Rd
Ste A
Irondale, AL 35210
Phone (205) 775-0300
500 Office Park Dr
Ste 212
Mountain Brk, AL 35223
Phone (205) 418-8087
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Hoover, AL
- NPI 1174134738
-
- Psychiatry Physician
- Birmingham, AL
- NPI 1447528591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531699200000",
"number": "1972089712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1109 EMERALD RIDGE DR",
"city": "CALERA",
"state": "AL",
"postal_code": "350406122",
"telephone_number": "706-505-0337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 7TH CT S STE 100",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352223217",
"telephone_number": "706-505-0337"
}
],
"practiceLocations": [
{
"address_1": "1109 Emerald Ridge Dr",
"address_purpose": "LOCATION",
"city": "Calera",
"state": "AL",
"postal_code": "350406122",
"country_code": "US",
"telephone_number": "706-505-0337",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "QUACHETTA",
"middle_name": "LASHAE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-16",
"last_updated": "2018-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AL",
"license": "4136C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.